Prevalence and correlates of depression among chronic kidney disease patients in Taiwan

Abstract

BackgroundChronic kidney disease (CKD) is a progressive disease that causes a permanent impairment of renal function and premature mortality. The associated prognosis may result in serious psychological distress to the affected individual. However, there are limited data on the psychological correlates, and in particular depression, in Chinese CKD patients. This study aimed to examine the prevalence of depression, as well as the influence of other psychosocial factors on depression, among Taiwanese CKD patients.MethodsWe used a cross-sectional research design to recruit 270 CKD patients who were not undergoing dialysis treatment at a hospital in southern Taiwan during 2011. The structured questionnaire used in this study gathered information on respondent demographic and disease characteristics, and information obtained from the Taiwanese Depression Questionnaire. Factors associated with depression were examined by a multiple logistic regression analysis.ResultsThe crude and age-standardized prevalence of depression were 22.6% and 20.6%, respectively. Those who had sleep disturbances, reported having no religious beliefs, followed no regular exercise regimen, and were diagnosed with stage III or above CKD demonstrated a significantly higher risk of depression.ConclusionOur findings are beneficial to healthcare providers, as they identify both the prevalence of depression and several of its correlates. By identifying CKD patients with a higher risk of depression, healthcare providers may be better able to ensure the provision of appropriate rehabilitation to this population.

Protective effect of regular physical activity on major depressive episodes in patients with early stages of chronic kidney disease

“…In the present study, we found that 22.7% of patients with early stages of CKD had a current MDE, which is consistent with previous studies [1,15]. Our results also demonstrated that diabetes mellitus were significantly associated with an MDE.…”

“…In CKD patients PA is strikingly below recommended levels, which is related to their poor outcomes [13,14]. Recent two studies have demonstrated a significant association between current exercises and depressive symptoms in patients with pre-dialysis CKD [15,16]. But the cross-sectional nature of these studies limited the ability to confirm causality between current exercises and depressive symptoms.…”

A Review of the Role of Exercise and Factors Affecting its Uptake for People with Chronic Kidney Disease (Ckd) not Requiring Renal Replacement Therapy/ Преглед На Улогата На Вежбањето И Факторите Што Влијаат На Неговата Примена Кај Лица Со Хронична Бубрежна Болест (Хбб) За Кои Не Е Потребна Бубрежна Заменска Терапија

“…This recommendation was made with the caveat that further research was necessary before more detailed recommendations could be made. Although the evidence reviewed by Heiwe & Jacobsen gave a mixed picture of results, when this is considered with the tentative findings of Chiang [30] et al, this represents an area worth further investigation.…”

“…This compares with a normal prevalence in 7% for depressive disorders in an adult population [32]. After conducting uni-variate analysis Chiang [30] et al found a higher occurrence of depression among the group that did not exercise regularly and an increasing prevalence with disease stage. However these findings must be interpreted with care as the multi-factorial nature of mental health conditions means that findings from one culture may not be directly transposed onto another.…”

“…Chiang [30] et al investigated the prevalence of depression in people with CKD and found that age-standardised depression prevalence was 20.6% in the Taiwanese CKD population. This correlates with the findings of a meta-analysis by Palmer [31] et al of 23% in dialysing patients and 21% in CKD4-5.…”